SULFASALAZINE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13433BMPNP
SULFASALAZINE
sulfasalazine 500 mg enteric tablet, 100 (PI, CMI)
4 400 5 $100.15 $31.60 $31.60
Available brands
Pyralin ENa
Salazopyrin-ENa
* Additional charge for this brand is $8.00B
4 400 5 $108.15 $31.60 $39.60
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SULFASALAZINE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13557MMPNP
SULFASALAZINE
sulfasalazine 500 mg tablet, 100 (PI, CMI)
4 400 5 $92.19 $31.60 $31.60
Available brands
Salazopyrin
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SULFASALAZINE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2093EMPNP SULFASALAZINE
sulfasalazine 500 mg tablet, 100 (PI, CMI)
2 200 5 $52.83 $31.60 $31.60
Available brands
Salazopyrin
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SULFASALAZINE

Source General Schedule
Body System ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2096HMPNP SULFASALAZINE
sulfasalazine 500 mg enteric tablet, 100 (PI, CMI)
2 200 5 $56.81 $31.60 $31.60
Available brands
Pyralin ENa
Salazopyrin-ENa
* Additional charge for this brand is $4.00B
2 200 5 $60.81 $31.60 $35.60
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions